person
Dr. Michael David Richardson, EDD,LCPC,CRADC
Professional Counselor in New London, Missouri
NPI 1154510196

Michael David Richardson is a Professional Counselor based in New London, MO and is specialized in Professional. Michael David Richardson practices in New London, MO and has the professional credentials of EDD,LCPC,CRADC. The NPI Number for Michael David Richardson is 1154510196 and holds a License No. 001395 (Missouri).

The current practice location address for Michael David Richardson is 12496 Old 79, New London, MO and can be reached out via phone at 573-248-2051 and via fax at 573-248-2051.

Location: 12496 Old 79, New London, MO, 63459-2741
person
Provider Profile Details
NPI Number
1154510196
Provider Name
Michael David Richardson
Credential
EDD,LCPC,CRADC
Provider Entity Type
Individual
Gender
Male
Address
12496 Old 79, New London, MO, 63459-2741
Phone Number
573-248-2051
Fax Number
573-248-2051
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
498873918 05 MO
institution
Provider Business Practice Location Address Details
Address
12496 Old 79
City
State
Zip
63459-2741
Phone Number
573-248-2051
Fax Number
573-248-2051
person
Provider Business Mailing Address Details
Address
12496 Old 79
City
State
Zip
63459-2741
Phone Number
573-248-2051
Fax Number
573-248-2051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001395 (Missouri)
Definition
Definition to come...
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